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HomeMy WebLinkAbout0034254-Building (platform & steps) /�� /� CITY OF OSHKOSH N° 34254 `' PERMIT - APPLICATION AND RECORD ` ; TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HE�GHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��Z`� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK S�, � 3 �/i r BUILDING CONTRACTOR ./t� Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const.� Occupancy Permit i HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT _WH _Disp —WSoft _CBasin —Lav —Sh _DW _DF —San. Sewer —WC _FDr _SP —Ur —Storm Sewer —Sink _LTub _Eject —SS _Water Other FEES: Valuatio $ � � •� � Permit Fee Paid $ � � ` � J Park Dedication $ ISSUED BY Date �/���� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ENT/OWNER DATE �! ADDRESS TELEPHONE#